Johnny McCall, BCPC, LCDC, LPC-A

Primary specialty

CounselorTaxonomy code 101Y00000X

License

87594 Issued in TX

Practice address

2304 Bardin Rd Ste 202
Grand Prairie, TX 75052-3855

Phone

(972) 236-7484

Fax

(682) 292-2402

NPI assigned

Apr 20, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Mr. JB McCall Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1497498083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 BARDIN RD STE 202",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523855",
            "telephone_number": "972-236-7484",
            "fax_number": "682-292-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 BARDIN RD STE 202",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523855",
            "telephone_number": "972-236-7484",
            "fax_number": "682-292-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "JOHNNY",
        "credential": "BCPC, LCDC, LPC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16065",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "87594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JB",
            "last_name": "MCCALL",
            "prefix": "MR.",
            "credential": "BCPC, LCDC, LPC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kwame Alfredo Mayes
• Mayfield Pharmacy Inc
• Erik William Maynard, M.D.
• Gladys Mbok, PMHNP
• Shayne A McAnalley, M.D.
• Shanika Latrice McClain
• Jasmine McCoy
• Jason Daniel McCoy, LMT, SLT
• Michael Reid McCullough, DO
• MCD Medical Devices and Supplies LLC

• Counselor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.